HIRANO KANUGA DENTAL GROUP NPI 1255829370

NPI Information

NPI: 1255829370
Provider Name: HIRANO KANUGA DENTAL GROUP
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
18580 VIA PRINCESSA STE 3
CANYON COUNTRY, CA
ZIP 91387
Phone: (661) 388-0499
Get Directions

HIRANO KANUGA DENTAL GROUP is a pediatric dentistry dentist in Canyon Country, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. HIRANO KANUGA DENTAL GROUP NPI is 1255829370. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18580 VIA PRINCESSA STE 3
CANYON COUNTRY, CA
ZIP 91387-329
Phone: (661) 388-0499

The provider's authorized official is Shukan Kanuga .
The authorized official title is Partner and has the following contact phone number (310) 463-5027.

The enumeration date for this NPI number is 4/24/2018 and was last updated on 4/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	57764	CALIFORNIA	Yes
2	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1790975597	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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